Sexual acquisition of <scp>HIV</scp> infection after solid organ transplantation: Late presentation and potentially fatal complications

Cristelli, Marina; Mazolin, M A; Manzardo, Christian; Ribeiro, Marcelo; Cofan, Frederic; Santos, Daniel Wagner; Castel, María Ángeles; Tedesco‐Silva, Hélio; Moreno, Asunción; Diekman, Fritz; Miró, José M.; Medina-Pestana, José

doi:10.1111/tid.12894

Cited by 7 publications

(6 citation statements)

References 36 publications

(56 reference statements)

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“…No new cases of HIV were detected in our cohort, and only three patients with HIV infection received a kidney transplant during the study period, none of which were found to have STIs after transplantation. The incidence of new‐onset HIV after transplantation has been rare also in other studies 18 …”

Section: Discussionmentioning

confidence: 80%

“…The incidence of new-onset HIV after transplantation has been rare also in other studies. 18 Our study has some additional limitations of note. Despite including a relatively large cohort of kidney transplant patients, the number of STI cases diagnosed within our cohort remained small, and multivariable models for risk factors for STIs were not assessed as feasible or reliable, and annual incidence of STIs could not be calculated.…”

Section: Discussionmentioning

confidence: 90%

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Incidence of sexually transmitted infections is lower among kidney transplant recipients compared to the general population—A nationwide cohort study

Helanterä

Gissler

Kanerva

et al. 2022

Transplant Infectious Dis

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Aim:The burden of sexually transmitted infections (STI) among solid-organ transplant recipients is currently unknown. We studied the risk of STIs among kidney transplant recipients compared with the general population in a nationwide cohort. Methods: Between 2002 and 2019, all microbiological findings of Chlamydia trachomatis, Neisseria gonorrhoeae, Treponema pallidum (syphilis), and human immunodeficiency virus among kidney transplant recipients <65 years and transplanted between 1995 and 2017 in our country were captured from statutory national registries. Data from the general population of Finland, population 5.5 million, were used for comparisons.Incidence of STIs and age and sex-adjusted standardized incidence ratios (SIR) were calculated.Results: Altogether 3612 transplantations, with a total follow-up of 27 069 personyears were included. A total of 30 STIs microbiological findings of STI were confirmed in 25 patients: C. trachomatis (N = 27), N. gonorrhoeae (N = 2), and syphilis (N = 1). No hospitalizations associated with STIs were detected. The risk of STI after kidney transplantation was significantly lower compared to the general population (SIR, 0.57, 95% CI 0.39-0.80). The lower risk of STIs was more pronounced in female patients (SIR 0.40, 95% CI 0.20-0.74), whereas in male patients the difference was statistically not significant (SIR 0.69, 95% CI 0.44-1.04). Of the confirmed STI cases, 30% were detected in patients who received their transplants during adolescence.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 90%

Incidence of sexually transmitted infections is lower among kidney transplant recipients compared to the general population—A nationwide cohort study

Helanterä

Gissler

Kanerva

et al. 2022

Transplant Infectious Dis

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“…This case highlights the diagnostic challenges of post-transplantation HIV infection with a probable sexual acquisition. This issue is not well described in the literature, only one case series being available from our research [3]. Even though the benefits of transplantation in HIV infected patients has been well known for years, Fig 2. CEUS enhancement in the cortico-medullar (a), early pyelographic (b), and late pyelographic (g) phases show a quick cortical contrast uptake and quick cortical wash-out.…”

Section: Discussionmentioning

confidence: 92%

Difficulties in diagnosing HIV-associated nephropathy in kidney transplanted patients. The role of ultrasound and CEUS.

Elec¹,

Moisoiu²,

Socaciu

et al. 2020

Med Ultrason

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A 62-year-old woman who underwent kidney transplantation in 2014 was diagnosed with HIV infection in 2018. Grey scale and Doppler ultrasound evaluation revealed a normal aspect of the allograft. Contrast-enhanced ultrasound detected a quick cortical contrast uptake followed by a rapid cortical wash-out. This behavior was interpreted as a sign of inflammation. Ten months after ultrasound evaluation the graft presented severe disfunction and the patient was reintroduced into the hemodialysis program.

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“…Although the acquisition of HIV through sexual practices in a SOT recipient may be rare, it is not impossible. Fortunately, SOT recipients who acquire HIV can have a good response to antiretroviral therapy 48 …”

Section: Human Immunodeficiency Virus/acquired Immunodeficiency Virusmentioning

confidence: 99%

Sexual and reproductive health screening and counseling in adolescent and young adult transplant recipients

Cody

2024

Pediatric Transplantation

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Adolescents and young adults with and without chronic illnesses partake in risk‐taking behavior. Clinicians in transplant clinics should be aware of the prevalence of risk‐taking behavior in their adolescent and young adult solid organ transplant patients in order to provide complete care. Creating an environment where teens and young adults feel comfortable discussing risky behavior is important and includes creating a privacy policy and increasing comfort of the healthcare provider in asking sensitive questions. This review is intended to help the providers in the transplant clinic screen for and counsel about risk‐taking behaviors with their adolescent and young adult patients, specifically around sexual and reproductive health.

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Sexual acquisition of HIV infection after solid organ transplantation: Late presentation and potentially fatal complications

Cited by 7 publications

References 36 publications

Incidence of sexually transmitted infections is lower among kidney transplant recipients compared to the general population—A nationwide cohort study

Incidence of sexually transmitted infections is lower among kidney transplant recipients compared to the general population—A nationwide cohort study

Difficulties in diagnosing HIV-associated nephropathy in kidney transplanted patients. The role of ultrasound and CEUS.

Sexual and reproductive health screening and counseling in adolescent and young adult transplant recipients

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